Effects of Global Payment and Accountable Care on Tobacco Cessation Service Use: An Observational Study.

ABSTRACT:

Background

Tobacco use is the leading cause of preventable death and disability. New payment and delivery system models including global payment and accountable care have the potential to increase use of cost-effective tobacco cessation services.

Objective

To examine how the Alternative Quality Contract (AQC) established in 2009 by Blue Cross Blue Shield of Massachusetts (BCBSMA) has affected tobacco cessation service use.

Design

We used 2006-2011 BCBSMA claims and enrollment data to compare adults 18-64 years in AQC provider organizations to adults in non-AQC provider organizations. We examined the AQC's effects on all enrollees; a subset at high risk of tobacco-related complications due to certain medical conditions; and behavioral health service users.

Main meas

SUBMITTER: Huskamp HA 

PROVIDER: S-EPMC5023596 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature